Guadalupe Menjivar, Iliana Vanessa

Guadalupe Menjivar, Iliana Vanessa is an sole proprietor health care provider with primary practice located at 14721 Antilles Dr , Moreno Valley CA 92553-2949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Guadalupe Menjivar, Iliana Vanessa can be contacted via phone (714) 360-9940.

Contact Information

Primary practice address
14721 Antilles Dr Moreno Valley CA 92553-2949
Phone: (714) 360-9940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2351288 Massachusetts

Profile Details

NPI number 1902479728
LBN Legal business name Guadalupe Menjivar, Iliana Vanessa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2021
Last updated Jul 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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